2008: Began seeing patients in a clinic in Sanfebagar, Achham.
2009: First Memorandum of Understanding (MoU) for management of Bayalpata Hospital, Achham.
2013: First Performance Based Grant Agreement based on population health indicators.
2015: Nepal’s federal constitution promulgated ownership and regulation in healthcare to local governments.
2016: Second MoU for management of Charikot Hospital, Dolakha, one of the epicenter of 2015 earthquakes.
2017:Community Healthcare Program approved to be implemented as a national pilot — focus on Reproductive, Maternal, Neonatal and Child Health.
2017: NepalEHR implemented in Trishuli Hospital, Nuwakot — the first outside NHN-managed hospitals.
2017: Community Healthcare Program increased Institutional Birth Rate from 76% to 96% in our catchment area in Achham, surpassing Sustainable Development Goal (2030) -90% and Nepal Health Sector Strategy (2020) 70%.
2017: Community Healthcare Program brought down neonatal mortality rate from 14 to 6 per 1000 live births in our catchment area in Achham, surpassing Sustainable Development Goal (2030)- 12 and Nepal Health Sector Strategy (2020) – 18.
2018: Third MoU for management of Chaurmandu Primary Health Center leveraging financing around social health insurance and local funding as sources of sustainability.
2018: Integrated OpenMRS and DHIS2 into NepalEHR — the first of its kind globally.